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地尔硫、单硝酸异山梨酯和阿司匹林联合治疗不稳定型心绞痛
引用本文:周惠浩,张学苏,程鎏,唐树德. 地尔硫、单硝酸异山梨酯和阿司匹林联合治疗不稳定型心绞痛[J]. 中国新药与临床杂志, 2001, 0(Z1)
作者姓名:周惠浩  张学苏  程鎏  唐树德
作者单位:卢湾区红十字老年护理医院 上海200025(周惠浩,张学苏,程鎏),上海第二医科大学附属瑞金医院 上海200025(唐树德)
摘    要:目的 :观察静脉维持滴注地尔硫、口服单硝酸异山梨酯和小剂量阿司匹林治疗不稳定型心绞痛的疗效及安全性。方法 :30例不稳定型心绞痛经6~ 12h常规单硝酸异山梨酯和小剂量阿司匹林联合治疗无效者 ,在原治疗基础上加用地尔硫 2 0 0mg·d- 1,维持静脉滴注 2 4h ,连续 2d。结果 :心绞痛缓解有效率 87% ,其中 1,6,2 4h内缓解分别为18例 (60 % ) ,6例 (2 0 % )和 2例 (7% ) ,无效为 4例 (13% )。结论 :口服单硝酸异山梨酯、小剂量阿司匹林和静脉滴注 2 4h地尔硫治疗不稳定型心绞痛有效、安全。

关 键 词:不稳定型心绞痛  地尔硫  单硝酸异山梨酯  阿司匹林

Intravenous diltiazem combined with nitroglycerin and aspirin in treating unstable angina pectoris
ZHOU Hui Hao ,ZHANG Xue Su ,CHEN Liu ,TANG Shu De. Intravenous diltiazem combined with nitroglycerin and aspirin in treating unstable angina pectoris[J]. Chinese Journal of New Drugs and Clinical Remedies, 2001, 0(Z1)
Authors:ZHOU Hui Hao   ZHANG Xue Su   CHEN Liu   TANG Shu De
Affiliation:ZHOU Hui Hao 1,ZHANG Xue Su 1,CHEN Liu 1,TANG Shu De 2
Abstract:AIM: To observe the efficacy and safety of the intravenous diltiazem combined with nitroglycerin and aspirin in treating unstable angina pectoris. METHODS: Thirty patients with unstable angina pectoris who had no respose after being treated, with nitroglycerine and low doses of aspirin for 6 12 h were treated with a prolonged nitroglycerine intravenously infusion at a doses of 200 mg over 24 h for 2 d. RESULTS: A total of 26/30 (87 %) patients were effective during the treatment, there were 18(60 %), 6(20 %) and 2(7 %) patients who were relieved form angina pain within 1, 6 and 24 h separately. Only 4 patients(13 %) were not effective. CONCLUSION: Intravenous diltiazem combined with nitroglycerin and aspirin is effective and safe.
Keywords:unstable angina  diltiazem  isosorbide mononitrate  aspirin
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